-- JAKE ANTONINI --
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1063840700- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 8915 SW CENTER ST, TIGARD, OR, 972236307
- Phone
- (503) 726-3698
Specialties & Taxonomies
Counselor, Mental Health
Primary